Condom Use Attitudes, Beliefs, and Behaviors

NCT02855489 | Completed

• 1 other identifier: 13-0558
• Study Type: interventional
• Target: 317
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study has three primary goals. First, to design distinct interventions that target the three core constructs of the Theory of Planned Behavior (i.e, attitudes, norms, and perceived behavioral control (PBC)). The second goal is to determine which combination of the Theory of Planned Behavior constructs is more successful at changing condom use behavior among college students. Finally, the investigators will examine the impact change in targeted constructs has on those not targeted by an intervention. The current study intends to empirically test how the constructs (i.e., attitudes, norms, PBC) in the Theory of Planned Behavior influence each other to increase condom use with college students.

Conditions

Condom Use

Keywords

Condom Use; HIV/STD; Intervention; Theory of Planned Behavior; Dismantling Study Design

Outcome Measures

Primary Outcomes (1)

• Risky Sexual Behavior

  Risky sexual behavior was a composite variable calculated using "how many times a participant had sex in the past 3 months" X "how many times they used a condom when having sex during those 3 months" (reverse coded). Higher scores indicated riskier sexual behavior.

  Three Months

Secondary Outcomes (1)

• Condom Use

  Three Months

Study Arms (7)

Attitudes Only

EXPERIMENTAL

The attitudes condition targeted cognitive and affective attitudes by pairing attitudinal messages with pictures, and included an evaluative conditioning task.

Behavioral: Attitudes Only

Norms Only

EXPERIMENTAL

The norms condition utilized a group-affirmation exercise, personalized feedback, and group norms in an attempt to greater condom use norms.

Behavioral: Norms Only

Perceived Behavioral Control Only

EXPERIMENTAL

The PBC condition included a condom application video, lubrication instructions, condom negotiation videos, and a detailed description regarding purchasing condoms.

Behavioral: Perceived Behavioral Control Only

Intentions Only

EXPERIMENTAL

The intentions condition utilized implementation intentions in order to create condom use intentions.

Behavioral: Intentions Only

Three Constructs

EXPERIMENTAL

A three construct condition, which included attitudes, norms, and perceived behavioral control represented the core components of the TPB that are thought to work through intentions to result in behavior change.

Behavioral: Three Constructs

Four Constructs

EXPERIMENTAL

A four construct condition (i.e., attitudes, norms, PBC, and intentions) was designed to represent the "full TPB model" intervention which we expected would be more successful than either the three-construct intervention or any of the single construct interventions.

Behavioral: Four Constructs

No-Treatment, Control

NO INTERVENTION

A no-treatment control condition, which solely consisted of pretest and posttest assessments, was included. This allowed us to obtain important information about how the theoretical constructs in the TPB change over time (or do not) in the absence of an experimental manipulation.

Interventions

Attitudes Only BEHAVIORAL

Attitudes Only

Norms Only BEHAVIORAL

Norms Only

Perceived Behavioral Control Only BEHAVIORAL

Perceived Behavioral Control Only

Intentions Only BEHAVIORAL

Intentions Only

Three Constructs BEHAVIORAL

Three Constructs

Four Constructs BEHAVIORAL

Four Constructs

Eligibility Criteria

• Age: 18 Years - 26 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Participants must be 18 and older and must have had vaginal or anal intercourse at least once.

You may not qualify if:

• Prior research has indicated that the predictors of condom use are dramatically different in casual versus serious relationships and that condom use is extremely difficult to change among those in established long-term relationships. Thus, we will exclude participants if they indicate that they are in a relationship and they classify that relationship as someone they are "living with" or "married to".

Sponsors & Collaborators

• University of Colorado, Boulder: lead

Related Publications (7)

• Reid AE, Aiken LS. Integration of five health behaviour models: common strengths and unique contributions to understanding condom use. Psychol Health. 2011 Nov;26(11):1499-520. doi: 10.1080/08870446.2011.572259. Epub 2011 Jun 28.

  PMID: 21678166 BACKGROUND

• Glanz K, Bishop DB. The role of behavioral science theory in development and implementation of public health interventions. Annu Rev Public Health. 2010;31:399-418. doi: 10.1146/annurev.publhealth.012809.103604.

  PMID: 20070207 BACKGROUND

• Glanz K, Maddock J. On judging models and theories: research and practice, psychology and public health. J Health Psychol. 2000 Mar;5(2):151-4. doi: 10.1177/135910530000500203. No abstract available.

  PMID: 22049003 BACKGROUND

• Noar SM. Behavioral interventions to reduce HIV-related sexual risk behavior: review and synthesis of meta-analytic evidence. AIDS Behav. 2008 May;12(3):335-53. doi: 10.1007/s10461-007-9313-9. Epub 2007 Sep 21.

  PMID: 17896176 BACKGROUND

• Godin G, Kok G. The theory of planned behavior: a review of its applications to health-related behaviors. Am J Health Promot. 1996 Nov-Dec;11(2):87-98. doi: 10.4278/0890-1171-11.2.87.

  PMID: 10163601 BACKGROUND

• Webb TL, Sheeran P. Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence. Psychol Bull. 2006 Mar;132(2):249-68. doi: 10.1037/0033-2909.132.2.249.

  PMID: 16536643 BACKGROUND

• Montanaro EA, Kershaw TS, Bryan AD. Dismantling the theory of planned behavior: evaluating the relative effectiveness of attempts to uniquely change attitudes, norms, and perceived behavioral control. J Behav Med. 2018 Dec;41(6):757-770. doi: 10.1007/s10865-018-9923-x. Epub 2018 Apr 18.

  PMID: 29671166 DERIVED

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: July 26, 2016
• First Posted: August 4, 2016
• Study Start: November 1, 2013
• Primary Completion: November 1, 2014
• Study Completion: November 1, 2014
• Last Updated: August 1, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share